Gerarda Theresa Weis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001280 Issued in MO

Practice address

10000 Watson Rd # 2L18
Personal Potentials Inc
Saint Louis, MO 63126-1854

Phone

(314) 822-4727

Fax

(314) 822-0531

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Gerarda Theresa Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personal Potentials, Inc.

  • Clinical Social Worker
  • Saint Louis, MO
  • NPI 1336220524
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1922117647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD # 2L18",
            "address_2": "PERSONAL POTENTIALS INC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-822-4727",
            "fax_number": "314-822-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 WATSON RD # 2L18",
            "address_2": "PERSONAL POTENTIALS INC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261854",
            "telephone_number": "314-822-4727",
            "fax_number": "314-822-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "GERARDA",
        "middle_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "001280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A/B NETWORK PROVIDER",
            "identifier": "011869",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH NETWORK PROVIDER",
            "identifier": "27033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NETWORK PROVIDER",
            "identifier": "100879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERARDA",
            "last_name": "HARRIS",
            "middle_name": "THERESA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lori Ann Weinstock, D.C.
• Frances M. Weintraub, MSW
• Steven Weintraub, M.D.
• Aaron M Weinzettel, CRNA
• Don Clair Weir III, MA, LPC
• Jennifer Suzanne Weis, RD
• Melissa N Weis, M.D.
• Edmond S Weisbart, MD
• Howard Weisel, MD
• Judith Leona Weisenberg, MD

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.